Kevin P Baluha
Individual provider Active NPI Counselor · Ward, CO
NPI 1639633969 · NPPES record last updated Jan 31, 2019
Key facts
- NPI
- 1639633969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 60 Bigbee High Rd
Ward, CO 80481-9630 - Phone
- (727) 698-7558
- NPI assigned
- Jan 31, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
60 Bigbee High Rd
Ward, CO 80481-9630
Mailing address
60 Bigbee High Rd
Ward, CO 80481-9630
Phone (727) 698-7558
Other providers in Ward, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.